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Review
. 2025 Jul 1;10(3):252.
doi: 10.3390/jfmk10030252.

Associations Between Visual Accommodation and Cervical Muscle Activity and Symptomatology: A Systematic Review

Miguel Ángel Lérida-Ponce  1 , Miguel Ángel Lérida-Ortega  1   2 , Ana Sedeño-Vidal  1 , Alfonso Javier Ibáñez-Vera  1
Affiliations
Review

Associations Between Visual Accommodation and Cervical Muscle Activity and Symptomatology: A Systematic Review

Miguel Ángel Lérida-Ponce et al. J Funct Morphol Kinesiol. .

Abstract

Objectives: The aim of this study was to investigate the potential anatomical and physiological interconnections between the visual system and the cervical muscular system, as well as to examine the role of the visual system in the etiology and manifestation of cervical musculoskeletal pain or discomfort. Methods: A systematic review was conducted following the PRISMA guidelines, using databases such as PubMed, Scopus, Web of Science, CINAHL, and PEDro. The protocol was registered in PROSPERO. The included study designs comprised experimental studies, randomized controlled trials (RCTs), and pilot RCTs. Results: The literature search was conducted between January and May 2025 and yielded 51 studies across all databases. Seven experimental studies were finally included, all of which met the inclusion criteria and presented a mean methodological quality score of 5 on the PEDro methodological quality scale. The studies included data from a total of 308 participants (n = 261; 84.74% females). Subjects in the intervention group reported cervical pain or visual fatigue. Conclusions: Our results indicated a relationship between visual accommodation and increased electromyographic activity of the trapezius muscle, suggesting that accommodative stress may induce cervical muscle fatigue and pain.

Keywords: cervical pain; neck pain; visual accommodation; visual function.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
PRISMA flow diagram.
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References

    1. Espí López G.V., Sentandreu Mañó T., Colorado Lluch M.I., Dueñas Moscardó L. Efectos de Un Programa de Ejercicios Oculocervicales En Adultos En La Movilidad Cervical. Fisioterapia. 2011;33:41–49. doi: 10.1016/j.ft.2011.01.001. - DOI
    1. Sánchez-González M.C., Pérez-Cabezas V., López-Izquierdo I., Gutiérrez-Sánchez E., Ruiz-Molinero C., Rebollo-Salas M., Jiménez-Rejano J.J. Is It Possible to Relate Accommodative Visual Dysfunctions to Neck Pain? Ann. N. Y. Acad. Sci. 2018;1421:62–72. doi: 10.1111/nyas.13614. - DOI - PubMed
    1. Sánchez-González M.C., Gutiérrez-Sánchez E., Sánchez-González J.M., Rebollo-Salas M., Ruiz-Molinero C., Jiménez-Rejano J.J., Pérez-Cabezas V. Visual System Disorders and Musculoskeletal Neck Complaints: A Systematic Review and Meta-Analysis. Ann. N. Y. Acad. Sci. 2019;1457:26–40. doi: 10.1111/nyas.14224. - DOI - PubMed
    1. Lodin C., Forsman M., Richter H. Eye- and Neck/Shoulder-Discomfort during Visually Demanding Experimental near Work. Work. 2012;41((Suppl. S1)):3388–3392. doi: 10.3233/WOR-2012-0613-3388. - DOI - PubMed
    1. Domkin D., Forsman M., Richter H.O. Ciliary Muscle Contraction Force and Trapezius Muscle Activity during Manual Tracking of a Moving Visual Target. J. Electromyogr. Kinesiol. 2016;28:193–198. doi: 10.1016/j.jelekin.2015.11.008. - DOI - PubMed

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